Individual
JOHANNA SCHUESSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3009 N BALLAS RD, STE. 100B, SAINT LOUIS, MO 63131-2322
(314) 432-1111
Mailing address
208 CORRAL TRL, ELLISVILLE, MO 63011-2334
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2003011631
MO
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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